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1538702170
MAYA TIFFANY JACQUELINE KING
FAYETTEVILLE, GA
NPI
1538702170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA 290689)
Enumeration Date
2019-10-27
Last Update Date
2019-10-27
Business Address
MAYA TIFFANY JACQUELINE KING CPNP
105 S SHORE TER
FAYETTEVILLE, GA 30214-7399
Phone number: 770-349-9698
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Mailing Address
MAYA TIFFANY JACQUELINE KING CPNP
105 S SHORE TER
FAYETTEVILLE, GA 30214-7399
Phone number: 770-349-9698
Copy
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